Individual
DR. MITCH FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2120 W 24TH ST STE B, YUMA, AZ 85364-6122
(928) 314-1695
(928) 314-1696
Mailing address
PO BOX 6497, YUMA, AZ 85366-2521
(928) 314-1695
(928) 314-1696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27545
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476003
—
AZ
Enumeration date
06/26/2006
Last updated
08/18/2010
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